Protocol for Transfusion of Packed Red Blood Cells in the Brazilian Air Medical Service.

OBJECTIVE: Helicopter emergency medical services are part of many emergency health care systems, ensuring specialized treatment on site. The objective of this study was to develop and validate a protocol for the use of packed red blood cells in advanced support helicopter air medical care in Brazil. METHODS: This was a methodological validation study with a quantitative approach developed in 2 stages (ie, protocol development and content validity using the Delphi technique) by 24 judges. For data analysis, the content validity index and Kappa agreement analysis were used. RESULTS: The protocol consists of 28 verification items distributed in the following 6 topics: 1) request and transport, 2) packaging, 3) use in air medical service, 4) transfer of the blood transfusion patient, 5) recording, and 6) unused red blood cell concentrate. A kappa value of 0.91 and an overall content validity index of 0.95 and greater than 0.8 on all individual items were obtained. CONCLUSION: The protocol proved to be valid regarding the content for the use of packed red blood cells in air medical service. It is an essential resource to guide professionals in assisting patients with class III and IV hemorrhage requiring transfusion in air medical service.

Aprendizaje Basado en Problemas: la comunicación en la integración teórico-práctica en Enfermería / Aprendizagem Baseada em Problemas: a comunicação na integração teórico _ prática em Enfermagem / Learning based on problems: the communication at the integration Nursing theory - practice

Trata-se de um relato de experiência de Estágio de Docência realizado em unidade clínico-cirúrgica de um Hospital Universitário de Florianópolis, Brasil. Para a prática de docência optou-se pelo método pedagógico de Aprendizagem Baseada em Problemas. O problema exposto, de acordo com a proposta pedagógica, foi a carência da prática de orientação pré-operatória pela enfermagem a pacientes cirúrgicos na unidade cirúrgica emquestão, embora estudos na instituição apontem a indubitável necessidade e benefícios deste cuidado. O objetivo foi resolver/entender/pensar/refletir discutir/decidir coletivamente a problemática pelos discentes da sétima fase do curso de enfermagem a partir de seus conhecimentos, experiências, observações e de leituras dirigidas. Foram realizados encontros entre as docentes e as discentes para o desenvolvimento da proposta. Conclui-se que os profissionais de enfermagem, para uma comunicação eficiente e eficaz que integre/associe/relacione teoria e prática, precisam refletir a cerca da sua prática(AU)

Se trata de un relato de experiencia de Práctica de Docencia realizada en una unidad quirúrgica del Hospital Universitario de Florianópolis, Brasil. Para la práctica de docencia fue elegido el método pedagógico de Aprendizaje Basado en problemas. El problema expuesto, de acuerdo con la propuesta pedagógica, fue la carencia práctica de orientación preoperatoria por el personal de enfermería a pacientes quirúrgicos en la unidad quirúrgica en cuestión, mismo que estudios en la institución apunten la indudable necesidad y beneficios de este cuidado. El objetivo fue resolver /entender/pensar/reflexionar/discutir y decidir colectivamente la problemática por los estudiantes del séptimo semestre del curso de enfermería a partir de sus conocimientos, experiencias, observaciones y de lecturas dirigidas. Fueron realizados encuentros entre las docentes y las estudiantes para el desarrollo de la propuesta. Se concluye que los profesionales de enfermería, para una comunicación eficiente y eficaz que integre/asocie/relacione teoría y práctica, necesitan reflexionar sobre su práctica(AU)

This study is an experiment report from a Scholarship Internship which took place in a surgical unit in the University Hospital at the Florianópolis, Brazil. In order to carry out the internship, the pedagogical method for Learning Based on Problems was selected. The problem exposed, in accordance with the pedagogical proposal, was the lack orientation practice from nurses to surgical patients in the surgical unit in question, although studies at the institution point out the indubitable need for and benefits offered from this care practice. The objective of this experiment was to collectively resolve/understand/consider/ reflect/discuss/decide the problem among the students enrolled in the 7th semester of the undergraduate nursing course, based on their knowledge, experiences, observations, and directed reading. Meetings were organized and carried out among the nursing faculty and students in order to develop the proposal. We conclude that the nursing professionals, in order provide an efficient and effective communication that interacts/associates/relates theory and practice, need to reflect upon their practice(AU)